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无症状携带者和慢性肝病中的乙肝抗原与抗体

Hepatitis B antigens and antibodies in asymptomatic carriers and in chronic liver diseases.

作者信息

Nakamura S, Takezawa Y, Sato T, Maeda T, Nakamura M, Kera K

出版信息

Tohoku J Exp Med. 1979 May;128(1):81-7. doi: 10.1620/tjem.128.81.

Abstract

88% of asymptomatic hepatitis B surface antigen (HBsAg) carriers and 97% of HBsAg positive patients with chronic hepatitis or non-alcoholic liver cirrhosis showed high titers of antibody to hepatitis B core antigen (anti-HBc). A high titer of anti-HBc, thus suggested to be an indicator of persistent hepatitis B virus infection, was found rarely in seronegative patients with chronic hepatitis, non-alcoholic cirrhosis, or alcoholic liver diseases. It was not revealed in idiopathic portal hypertension or Budd-Chiari syndrome. In asymptomatic HBsAg carriers of 20--29 years of age, hepatitis B e-antigen (HBeAg) was significantly more frequently found in males than in females. There were differences in sex ratio, age, and history of blood transfusion between B type and non-B type of chronic hepatitis and non-alcoholic liver cirrhosis.

摘要

88%的无症状乙肝表面抗原(HBsAg)携带者以及97%的慢性肝炎或非酒精性肝硬化HBsAg阳性患者呈现出高滴度的乙肝核心抗原抗体(抗-HBc)。因此,高滴度抗-HBc被认为是持续性乙肝病毒感染的一个指标,而在血清阴性的慢性肝炎、非酒精性肝硬化或酒精性肝病患者中很少发现。在特发性门静脉高压症或布加综合征中未发现。在20至29岁的无症状HBsAg携带者中,男性乙肝e抗原(HBeAg)的检出率显著高于女性。B型和非B型慢性肝炎及非酒精性肝硬化患者在性别比例、年龄和输血史方面存在差异。

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